Premiere Podiatry PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

N006175 Issued in NY

Legal business name

PREMIERE PODIATRY PC

Practice address

158 E Main St
Suite 2
Huntington, NY 11743-2988

Phone

(631) 271-2491

Fax

(631) 271-2608

NPI assigned

Feb 24, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason E Feinberg, DPMNPI 1518035823

Title

Owner

Phone

(631) 271-2491

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Premiere Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1215186507

  8628134178

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Premiere Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1215186507

  O20100930059914

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Eric Feinberg, DPM

  • Podiatrist
  • Brooklyn, NY
  • NPI 1518035823
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1467759522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 E MAIN ST",
            "address_2": "SUITE 2",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432988",
            "telephone_number": "631-271-2491",
            "fax_number": "631-271-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E MAIN ST",
            "address_2": "SUITE 2",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432988",
            "telephone_number": "631-271-2491",
            "fax_number": "631-271-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "FEINBERG",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-271-2491",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N006175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deandra Loren Pratt, LMT
• Precision Digestive Care, PC
• Precision Ultrasound LLC
• Precisionvbm Partners
• Janet Bailey Preis, NP
• Nisha Susan Prince-Mattathil, NURSE PRACTITIONER
• Sandra K Prior, R.N.
• Proactive Physical Therapy and Wellness PC
• Gail Probst, NP
• Nicole Marie Probst, NP

• Durable Medical Equipment & Medical Supplies in Huntington, NY
• Providers in Huntington, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.